Original Research

The long-run effects of health aid in low-income countries

Keneni G. Negeri
Journal of Public Health in Africa | Vol 14, No 4 | a177 | DOI: https://doi.org/10.4081/jphia.2023.2219 | © 2024 Keneni G. Negeri | This work is licensed under CC Attribution 4.0
Submitted: 05 April 2024 | Published: 30 April 2023

About the author(s)

Keneni G. Negeri, Health Systems Management and Policy Unit, College of Medicine and Health Sciences, School of Public Health, Hawassa University, Ethiopia

Full Text:

PDF (761KB)


Background: Whether health aid has a positive, negative, or no effect on the health status of recipient countries is controversial.

Objective:  The current paper examines the long-run effect of health aid on health status in low-income countries.

Methods: The long-run health function was estimated using infant mortality as a proxy for health status and panel data constructed from 34 low-income countries from 2000 to 2017. For the estimation, fixed effect, random effect, and Hausman-Taylor estimators were employed.

Results: The estimation results indicate that health aid has a beneficial and statistically significant long-run effect on the health status of low-income countries. Doubling health aid saves the lives of 44 infants per 1000 live births in the long run.

Conclusion: This study shows that health aid could be one of the best interim tools with which the health status of low-income groups could get improved and helps meet the target of universal health coverage. Despite the favorable effect of health aid observed in this study, recipient countries need to find ways of promoting surrogate domestic health financing systems, as external assistance cannot be an everlasting means of improving population health.


health function; health aid; infant mortality; low-income countries; panel data


Total abstract views: 145
Total article views: 40


Crossref Citations

1. Redefining Debt-to-Health, a triple-win health financing instrument in global health
Yunxuan Hu, Zhebin Wang, Shuduo Zhou, Jian Yang, Ying Chen, Yumeng Wang, Ming Xu
Globalization and Health  vol: 20  issue: 1  year: 2024  
doi: 10.1186/s12992-024-01043-x